• Viscore ID:

  • Work Track No

  • Address

  • Prepared by:

  • Company Name

  • Enter Name of both scopers

  • Select date

ROW Scope Check List & Decision Tree

  • Connection Type

  • Total number of Lots

  • Clearly mention all Unit addresses

  • How many Lots to Reticulate

  • Clearly mention Unit addresses of Lots to Reticulate

  • Type of Network: ABF, fixed fibre or aerially?

  • Prove duct from the nearest BDD pit/manhole to boundary drop off, identify if it is not useable and the reason. Take pictures for record. NOTE: If the duct is not available up to the boundary, put details in “Extensive outside boundary work required” section. Where is the FAT/cabinet located? Distance from FAT or cabinet.

  • Take photo of servicing FAT or cabinet.

  • Is the POLE safe to climb?

  • Type of Pole

  • Explanatory notes identifying the condition of the pole and reasons for the pole to be unsafe.

  • Take photo of servicing OFDC or junction box.

  • Capture pole ID and where aerial feed is connected to.

  • Terminal installation required? (e.g IFDB. OFDCs, RATs etc)

  • Type of terminal? (e.g IFDB. OFDCs, RATs etc)

  • Aerial copper/fibre route available for EUPs in ROW/MDU?

  • Total Number of Poles included in the design

  • Add media

Scoping Details

  • NETMAP/other plans available in job pack identifying existing network?

  • Network services available on site as per plans?

  • Take photo(s) of drop off clearly showing number of tubes & location relative to ROW landmarks.

  • Takes photos as required for possible drop off options, provide frontage & reinstatement measurements to consider new drop off lateral.

  • Step by step description of build. Format x-y, activity, distance, infrastructure; e.g. 1-2, T in grass 5m, 3xR Key: H -haul; SM – Surface mount; MT - microtrench; T - trench; LL - lift & lay; R - ruggedized; D - duct; FF - Fixed Fibre; G – Grass; GD – Garden; CS – Cobbles; S – Seal; C - concrete

  • Soft surface trenching

  • Total length of soft surface trenching

  • Hard Surface Trenching

  • Total length of hard surface trenching (Seal)

  • Total length of hard surface trenching (Concrete)

  • Total length of hard surface trenching (Agrigate Concrete)

  • Total length of hard surface trenching (Stamped Concrete)

  • Total length of hard surface trenching (Bricks/Cobbles)

  • Drilling/thrusting required

  • Total length of drilling/thrusting

  • Add Aerial view for planned work

  • Add photos for design. Blue - existing; Red - build; Purple - future or for provisioning.

  • Other requirements? I.e TMP, Arborist, WE Pole

  • Explain Why EWP is required?

  • Additional Notes

Customer Details

  • Customer or requester was available at the time of scope?

Health, Safety and Environmental Issues

  • Have existing utility corridors been considered using on site observations & plans as part of the scope?

  • Build work in close proximity to HV Electricity or HP gas equipment?

  • Working at heights?

  • Dogs on site?

  • Unprotected edge? e.g. Trench, depression or waterway

  • Enter further notes for HS&E risk elimination or mitigation, e.g chemicals or asbestos, confined spaces, gas detection requirements etc.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.